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View Diary: Obama Administration Delays Out-Of-Pocket Caps To Grant Insurance Companies Transition 'Relief' (308 comments)

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  •  i know horseshit - and this is NOT horseshit! (0+ / 0-)

    programs are a huge financial investment and it takes years to migrate from one to another successfully.  it is NOT easily solvable for an industry the size of the insurance/medical one.

    your programs were written to accomodate new vendors and clients - it was built into the program at the outset.

    this is a total rewrite of how the systems operate - on the base level of billing and coding each service.

    this is the difference between windows 2.0 and vista and the new whateverthef*ckitis touch screen crap just out.

    i can see that you are not in the IT department - and that your clients have excellent IT programs that were built by people with foresight to be able to integrate new clients (doing the same things) and vendors (selling similar products) into a preexisting database.

    now, add in new services that are totally different, products with different billing codes that will change ALL the billing codes on every product to every client out there and see how long it takes - then make those changes compatabile with companies running different programs written by different coders - and see how long it takes.

    EdriesShop Is it kind? is it true? is it necessary?

    by edrie on Tue Aug 13, 2013 at 12:57:59 PM PDT

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    •  They've had four years. (1+ / 0-)
      Recommended by:
      JVolvo

      Republican obstruction or no, it's inexcusable, and the Obama administration is giving the insurance companies "relief", while shouldering the neediest with the cost.

      There's no excuse for it.

      Banking on the American people to be able to sort all this out and declare the adult in the room the winner is a very big bet. -Digby

      by Boogalord on Tue Aug 13, 2013 at 02:02:41 PM PDT

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      •  and what was obama and the administration going to (0+ / 0-)

        do to MAKE the insurance companies do the work?  

        send overlords to watch their it departments?  send in the guard to make sure the programmers were working on this?

        have you EVER thought to see how authoritarian that comment reads?

        the administration got congress to pass a very comprehensive law - it will take a lot of work to implement - many people truly believed romney would win and overturn it and so they did nothing.

        now the problem is how to get the law back on track and enacted instead of setting up futile war zones that will only set it back further.

        ever heard of the story of honey and flies?  well, we can fight them and it will be a long protracted battle, OR we can offer honey and then persuade them that it is in their best interest to get onboard before those who can leave for other companies who wise up and get ready faster.

        EdriesShop Is it kind? is it true? is it necessary?

        by edrie on Tue Aug 13, 2013 at 04:03:19 PM PDT

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        •  Well... (1+ / 0-)
          Recommended by:
          JVolvo
          and what was obama and the administration going to do to MAKE the insurance companies do the work?
          I dunno, pass a law? And make it a law that people have to buy their product? Is that not enough for the poor insurance companies?
          send overlords to watch their it departments?  send in the guard to make sure the programmers were working on this?
          Well, I'd think the enforcement would be alot like the people who will make sure that I buy insurance or pay a fine, right? The people who "enforce the law?"

          Why are you so wrapped up in this idea that insurance companies are above the law and need to be cajoled and appeased at every turn?

          well, we can fight them and it will be a long protracted battle, OR we can offer honey and then persuade them that it is in their best interest to get onboard before those who can leave for other companies who wise up and get ready faster.
          First option, please. I've seen the results of the second over and over, and I'm quite done with it. It's always a long protracted battle with our opposition. It's always a fight, and it always will be, and centrist "pragmatism" is never going to get us what we want (or need).

          I've seen the administration make exemptions for businesses and exemptions for insurance companies, both at the expense of the healthcare "consumer", AKA people who need healthcare. I don't see any exemptions from the individual mandate.

          Bottom line: If you're so caught up in keeping the insurance companies happy at all costs, regardless of whether or not it hurts the actual people healthcare reform was supposed to be about, you have lost sight of this issue completely.

          Banking on the American people to be able to sort all this out and declare the adult in the room the winner is a very big bet. -Digby

          by Boogalord on Tue Aug 13, 2013 at 04:49:31 PM PDT

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    •  It is just a cap and it is the SAME for everyone. (2+ / 0-)
      Recommended by:
      JesseCW, JVolvo

      Yes, it requires being able to use addition.  How much have you paid for healthcare?  ADD it up.

    •  It happens all the time with mergers (3+ / 0-)
      Recommended by:
      JesseCW, enhydra lutris, JVolvo

      Sure you don't fully integrate systems for awhile but you figure out how to feed data between them.  I mean you think the finance folks sit on their hands for years waiting to get data from acquired companies?  

      •  you are NOT talking about a simple "merger" here - (0+ / 0-)

        you are talking about rewriting the entire medical system in this nation.  for chrissakes!  stop and think - every single piece has to integrate and work seemlessly - AND it has to work with government medical plans, as well.

        for those of you who seem to think this is a piece of cake, i would really hope that you'd stay silent a bit until you've done some serious research on what has to occur.

        again - the problem lies in that the republican governors and insurance companies sat on their hands because they were true believers of the mitt.

        it seems that those who continually think this is something that can be done with the wave of a wand are just as naive.

        EdriesShop Is it kind? is it true? is it necessary?

        by edrie on Tue Aug 13, 2013 at 03:59:23 PM PDT

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      •  Actually..... the different company systems will (0+ / 0-)

        run for years and years until it becomes more expensive to maintain existing different systems than to build a whole new one.

        I work for an insurance company.  We have policies being generated on at least 4 different versions of the same 'package' frontend.  Then there are the other units and companies brought in.  While the overall goal is to 'end' the 'old' systems and sell the 'new', the old must be maintained by regulation.  They become 'closed' business lines.  We have a Merrill Lynch line out of Louisville that's this way.  I'm sure that there are other 'products' that are no longer sold, but the policies need to be maintained.

    •  An 81 yr old accounting dept manager with (1+ / 0-)
      Recommended by:
      JVolvo

      a green eyeshade, zero knowledge of DP and a #2 pencil could outline an interim solution. It takes 2 cleerks and a telephone.

      That, in its essence, is fascism--ownership of government by an individual, by a group, or by any other controlling private power. -- Franklin D. Roosevelt --

      by enhydra lutris on Tue Aug 13, 2013 at 04:07:05 PM PDT

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      •  this is so disenguous that it doesn't deserve (0+ / 0-)

        a response.

        EdriesShop Is it kind? is it true? is it necessary?

        by edrie on Tue Aug 13, 2013 at 04:13:12 PM PDT

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        •  IOW, you know it's true. Happens all the time (1+ / 0-)
          Recommended by:
          JVolvo

          in M&A situations, dummy accounts, transaction codes, vendor codes, etc. Whenever one company books a real copay, the other one books a phantom copay. Some junior accounting wallah is ordered to make it happen and assigned a junior DP wallah to assist. Bingo, it happens. Nobody has to rewrite entire databases and shit, not immediately at any rate.

          That, of course, is for financials and taxes and shit, where the President won't just waive the need to do it if you whine.

          That, in its essence, is fascism--ownership of government by an individual, by a group, or by any other controlling private power. -- Franklin D. Roosevelt --

          by enhydra lutris on Tue Aug 13, 2013 at 04:38:18 PM PDT

          [ Parent ]

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